Vaginoplasty in Pakistan, is frequently misunderstood as solely cosmetic, but it serves as an effective treatment for various medical conditions affecting reproductive and urinary health. These conditions encompass acquired issues such as vaginal laxity and trauma, commonly resulting from childbirth and aging, as well as congenital defects present from birth or early age.

Childbirth Delivery & Baby Weight

Childbirth is the process of delivering a baby from the mother’s uterus into the world. It’s a natural and intricate process, but sometimes complications can arise, particularly concerning the baby’s weight.

Baby weight plays a crucial role in childbirth. Most babies weigh between 5.5 and 8.8 pounds (2.5 to 4 kilograms) at birth.

Fetal Macrosomia

However, some babies are larger, a condition called fetal macrosomia. This can occur due to various reasons, including genetics, maternal gestational diabetes, or simply larger-than-average growth during pregnancy.

One common problem associated with delivering a large baby is shoulder dystocia, where the baby’s shoulders get stuck behind the mother’s pelvic bone during delivery. This can lead to birth injuries for both the baby and the mother, including fractures, nerve damage, and hemorrhage.

In cases where the baby’s size poses a significant risk or if other complications arise during labor, healthcare providers may opt for interventions such as a Cesarean section (C-section).

A C-section involves surgically delivering the baby through incisions made in the mother’s abdomen and uterus.

This procedure allows healthcare providers to safely deliver the baby, reducing the risks associated with vaginal delivery complications

What is C-Section

A Cesarean Section, commonly known as a C-section, is a surgical procedure where your obstetrician delivers your baby through incisions made in your abdomen and uterus. This method might be planned in advance due to medical indications or could occur unexpectedly during labor due to certain complications. Annually, there are approximately 1.2 million C-section deliveries in the United States.

Your healthcare provider might recommend a planned C-section if:

• You’ve previously had a C-section delivery.
• You’re expecting multiple babies.
• You have placenta previa.
• Your baby is in a breech position.
• You’re carrying a baby with fetal macrosomia (a large baby).
• You have a uterine fibroid or other obstructions.

An unplanned C-section might be required if any of the following conditions occur during labor:

• Fetal distress (indicating the baby isn’t tolerating labor).
• Lack of progress in labor.
• Umbilical cord prolapse.
• Placental abruption.
• Hemorrhage or excessive bleeding.

Risks Associated with C-Section

• Infection.
• Blood loss or the need for a blood transfusion.
• Formation of a blood clot that could become an embolism.
• Injury to the bowel or bladder.
• Extended recovery time and prolonged hospital stay.
• Development of abdominal adhesions.

Use of Forceps

Forceps are thin, smooth metal tools that resemble big tongs or spoons. To fit around the baby’s head, they are curved. Your baby’s head is gently placed around the forceps, which are then attached at the handles.

An obstetrician gently pulls to assist in the delivery of your baby while you push during a contraction.

Use of Ventouse

The baby’s head is suctioned to a ventouse, or vacuum cup. A tube connects a metal, plastic, or soft cup to a suction apparatus. The cup securely fits over your infant’s head.

The obstetrician or midwife gently pulls to assist in the delivery of the baby during a contraction while you push.

In cases where you are fewer than 36 weeks pregnant and require assistance giving birth, forceps may be a better option than ventouse. This is because your baby’s head is softer at this stage of pregnancy, so there’s less chance of harm from forceps.

Use of Pro- Long Episiotomy

A surgical incision called an episiotomy is used to enlarge the vaginal opening. This makes it easier for your baby’s head to fit through. An episiotomy won’t be necessary for most people.

The midline incision, which faces back toward your anus, and the mediolateral incision, which faces away from your anus, are the two different forms of episiotomy incisions.

There Are Three Levels to an Episiotomy

First-degree: A little rip involving only the vaginal lining.
Second-degree: A rip that penetrates your vagina’s lining and reaches the vaginal tissue underneath. Second-degree episiotomies predominate.
Third-degree: A rip encompassing the tissues and lining of your vagina as well as the anal sphincter.
Fourth-degree: The anal sphincter, rectum, vaginal lining, and vaginal tissues are all impacted by the tear. the kind of tear that is the worst and causes the greatest problems.

Why Non Surgical Vagina Tightening Is So Popular Todays?

It is a simple and quick procedure.You can have this one-time vaginal tightness therapy at the Aesthedoc Clinic in just one session.

• No need for anesthesia fitness
• No need for blood test
• No need for hospitel admit
• For client, you dont have to pay extra bills for operation theatre, ICU etc

What is Vaginoplasty?

Vaginoplasty, Vagina Tightening Surgery, and Vaginal Rejuvenation are terms used interchangeably to refer to a procedure aimed at restoring the female vagina to its original state after looseness, typically caused by childbirth or other factors.

Some Factors Cause For Vaginal Laxity Include:

a) Aged

Some women may naturally have vaginal laxity as they age, which is caused by the vaginal muscles and tissues gradually weakening and atrophying over time.

In your 40s, you might start to notice a change in the flexibility of your vagina. This is because as you approach the perimenopausal stage, your estrogen levels will start to decline.

When you stop taking estrogen, your vaginal tissue will change. Reliable Source:

• Drier, thinner, and less acidic
• Less flexible or pliable
• The onset of menopause may make these alterations more apparent. Nevertheless, any slackness or Weakness is minimal.
• You won’t suddenly have a really different level of flexibility in the morning.

b) Multiple Vaginal Births

Your body will naturally alter after giving delivery. Your vaginal muscles must expand during a vaginal delivery in order to make a space big enough for the baby to pass through the birth canal and exit your vagina.

• Your vagina could feel a little bit looser than it did before giving birth. That is anticipated.
• A few days after giving birth, your vagina should begin to tighten again,
• Though it might not take its former shape entirely.

Your vaginal muscles are more likely to lose some of their flexibility if you’ve given birth via vaginal means several times.

There are activities to strengthen your vaginal floor muscles before, during, and after pregnancy if this makes you uncomfortable.

c) Trauma during vaginal childbirth or other event

Damage to the pelvic floor muscles, which encircle the vagina and support its shape and position, falls under this category. It is likely that vaginal deliveries result in varying degrees of musculoskeletal stress, therefore this is a typical occurrence.

Anxiety disorders include postnatal post-traumatic stress disorder (PTSD). Another name for it is birth trauma.

Should you go through unpleasant experiences throughout labor or delivery, you could end up with postnatal PTSD.

It is occasionally possible for mothers to have birth injuries like as perineal rips and pelvic floor injury.

Remember: There is less likelihood of adverse effects when you visit a reputable clinic and receive a vaginoplasty procedure from a specialist gynoclogist with at least ten years of experience in this area. The reason is that a surgeon with such advanced training understands exactly how to treat your body, treatment regimens, and the number of sessions necessary for the course of therapy.

Menopause

Your pelvic floor will require particular care throughout the peri-menopause phase, which is the five to ten year period of gradually changing hormones before menopause starts. The sudden shift in hormones can lead to additional symptoms like problems with bladder and bowel control, as well as weakening of the pelvic floor and vaginal canal.

How To Make The Muscles in Your Vagina Stronger?

Even without delving into the clinical data, it appears prudent to consider that pelvic floor physiotherapy and kegel exercises, as a form of therapeutic exercise, could potentially alleviate symptoms of vaginal looseness.

Pelvic Floor Physiotherapy and Kegel Exercises Help in Vagina Loseness?

These exercises aim not to directly tighten the vaginal muscles but rather to strengthen and tone the pelvic floor muscles encircling the vagina.

Thus, while the physiological rationale behind using pelvic floor muscle strengthening exercises to address vaginal looseness is sound.

It’s a frequently advised approach supported by anecdotal evidence, yet clinical research findings have been gradually accruing.

Symptoms of Vaginal Laxity Include

• Decreased levels of sexual arousal and satisfaction
• Stress urinary incontinence is the term for uncontrollably urinating while coughing, sneezing, laughing, or exercising.
• Tampons falling out of position
• alterations to the vagina’s appearance
• bowel movement issues
• The feeling of having a smooth, broad, or loose vagina
• Rejuvenation of the Vagina

(A) Explain Non-Surgical Procedures for Vaginal Tightening

Non-surgical procedures for vaginoplasty typically aim to improve vaginal tone, tightness, and overall vaginal health without the need for invasive surgery. Some common non-surgical procedures include:

1) Radiofrequency (RF) Therapy

RF therapy uses radiofrequency energy to heat the tissues of the vaginal canal, stimulating collagen production and tightening the vaginal walls. This procedure can improve vaginal laxity, urinary incontinence, and sexual satisfaction. RF therapy is often performed in a series of sessions for optimal results.

Procedure Time: Collagen production rises during the procedure, which takes 20 minutes on average, as a result of the heat the radiofrequency device applies to the tissue.

Heat from radiofrequency is applied to the vulva and vaginal linings. It causes the tissues in the vagina to tighten and shrink by restructuring the collagen and elastin, enhancing blood flow, and increasing wetness.

2) CO2 Laser Therapy

CO2 laser therapy involves the use of a carbon dioxide laser to deliver controlled thermal energy to the vaginal tissues. Similar to RF therapy, CO2 laser therapy stimulates collagen production and tightens the vaginal walls. It can also improve vaginal lubrication and reduce symptoms of vaginal atrophy.

Procedure Time: The average time to finish the treatment is 10 to 15 minutes, although each patient’s experience may differ.

3) Platelet-Rich Plasma (PRP) Therapy

PRP therapy involves injecting platelet-rich plasma, derived from the patient’s own blood, into the vaginal tissues. The growth factors in PRP promote tissue regeneration, collagen production, and improved blood flow, leading to enhanced vaginal tone and sensitivity. PRP therapy may also be combined with other non-surgical procedures for synergistic effects.

Procedure Time: This innovative form of non-surgical, 20-minute office treatment makes use of platelet-rich plasma (PRP) therapy.

PRP therapy can promote joint and trauma-related wound healing. This method can improve other cosmetic treatments, treat male pattern baldness, and encourage the growth of hair transplants.

4) Vaginal Threads

A non-surgical technique that is becoming more and more popular to enhance the look and functionality of the vagina is vaginal thread lifting. In order to elevate and tighten the region, specific threads (Aptos Threads) are injected into the vaginal tissue.

The patient is frequently given a local anesthetic by the doctor to numb the area during a vaginal thread-lifting surgery. The threads are then inserted into the vaginal tissue using a specialist needle. Biocompatible materials like polydioxanone (PDO), which is frequently used in medical sutures, are employed to manufacture the threads.

Procedure Time: The process takes between 30 and 60 minutes to finish, which is fairly speedy.

5) HIFU Vaginal Tightening

High-Intensity Focused Ultrasound, or HIFU for short, is a focused ultrasound treatment that targets different depths of the body’s tissue to tighten, lift, and contour the skin.

Procedure time: The painless process takes up to 30 minutes per session, requires no recovery time from the patient, and is completely non-surgical.

The short and non-invasive technique has minimal downtime and yields results nearly instantly. It increases collagen regeneration and fresh collagen formation at the source.

Elevated moisture levels in the vagina
Clinically validated – secure and efficient
Not a moment of silence
After just one treatment, results are visible, and they may persist for up to two years

Strengthened, taut, and firmer muscles in the area that was treated
Lowering or getting rid of bacterial infections in the vagina

6) Vaginal Profilo and Exosome For Vagina Tithening

Vaginal rejuvenation procedures have evolved over the years to address various concerns related to vaginal laxity, dryness, and overall tone. Among the newer treatments gaining attention are vaginal Profilo and exosome therapy. Here’s a detailed overview of each:

Vaginal Profilo:

Vaginal Profilo is a non-surgical procedure that involves the injection of hyaluronic acid (HA) into the vaginal tissues. Hyaluronic acid is a naturally occurring substance found in the body, known for its ability to hydrate and plump the skin. During the procedure, a small needle is used to inject HA into specific areas of the vaginal wall.

Mechanism of Action: The injected hyaluronic acid helps to hydrate and rejuvenate the vaginal tissues, promoting increased elasticity and firmness. It also stimulates collagen production, which further enhances tissue integrity and resilience. As a result, vaginal Profilo can help improve vaginal tightness, reduce dryness, and enhance sexual satisfaction.

Benefits:

• Non-surgical and minimally invasive.
• No downtime or recovery period.
• Improves vaginal tightness and tone.
• Enhances vaginal lubrication and moisture.
• Can improve sexual function and satisfaction.

Exosome Therapy for Vaginal Tightening

Exosome therapy involves the use of exosomes, which are small vesicles derived from stem cells. These exosomes contain growth factors, cytokines, and other signaling molecules that can promote tissue regeneration and repair. In the context of vaginal tightening, exosomes are typically injected into the vaginal tissues.

Mechanism of Action: Exosomes exert their effects by delivering bioactive molecules to target cells, stimulating cellular repair and regeneration. When injected into the vaginal tissues, exosomes can enhance collagen production, improve blood flow, and promote tissue remodeling. This leads to increased vaginal tightness and tone over time.

Benefits:

• Stimulates natural tissue regeneration and repair.
• Improves vaginal tightness and tone.
• Enhances lubrication and moisture in the vaginal canal.
• Can improve sexual function and satisfaction.
• May have long-lasting effects with repeated treatments.

Common Side Effects of Non-Surgical Vaginoplasty Procedures

1. Pain and Discomfort: Pain and discomfort are common in the immediate postoperative period. Pain management strategies, including medication, are typically provided to alleviate this discomfort.
2. Swelling and Bruising: Swelling and bruising around the surgical site are common after vaginoplasty. This usually resolves over time as the body heals.
3. Infection: There is a risk of infection associated with any surgical procedure. Patients are typically prescribed antibiotics to reduce the risk of infection, and proper wound care is essential to minimize this risk.
4. Bleeding: Some bleeding from the surgical site is normal immediately after surgery, but excessive bleeding may require medical attention.
5. Scarring: Like any surgery, vaginoplasty can result in scarring, although surgeons aim to minimize visible scarring. Scarring can vary depending on surgical technique and individual healing factors.

(B) Explain Surgical Procedures for Vaginal Tightening

This tightening can address issues such as vaginal laxity, which may occur due to childbirth, aging, or genetics. During a vaginoplasty procedure, the surgeon typically removes excess vaginal lining and tightens the surrounding muscles and tissues. The procedure may involve:

• Perineoplasty: This procedure focuses on the perineum, the area between the vaginal opening and the anus. Perineoplasty involves repairing and tightening the muscles and tissues in this area to improve support and enhance vaginal tone.
• Anterior and Posterior Repair: These procedures address specific areas of weakness or prolapse in the front (anterior) or back (posterior) vaginal wall. Anterior repair targets the bladder and urethra, while posterior repair addresses rectal prolapse or bulging.
• Labiaplasty: While not directly related to vaginal canal surgery, labiaplasty may sometimes be performed concurrently with vaginoplasty to reshape and reduce the size of the labia minora (inner vaginal lips) for aesthetic or functional reasons.

Medical Conditions and Reconstruction:

Vaginal surgeries are also performed to address medical conditions affecting the vaginal canal, such as:

• Vaginal Agenesis: In cases of vaginal agenesis, where the vagina is absent or underdeveloped, surgical reconstruction may be necessary to create a functional vaginal canal. This procedure, known as vaginoplasty or neovaginoplasty, involves creating a new vaginal canal using existing tissue or grafts.
• Vaginal Stenosis: Vaginal stenosis refers to narrowing or constriction of the vaginal canal, which can result from scarring due to injury, radiation therapy, or certain medical conditions. Surgical procedures such as vaginal dilation or reconstructive surgery may be performed to widen the vaginal canal and restore function.
• Vaginal Fistulas: Surgical repair may be necessary to address abnormal connections (fistulas) between the vagina and other pelvic organs, such as the bladder or rectum. This involves closing the fistula and reconstructing the affected tissues to restore normal anatomy and function.

Techniques and Approaches:

Vaginal surgeries can be performed using various techniques and approaches, including traditional open surgery, minimally invasive techniques such as laparoscopy or robotic-assisted surgery, and non-surgical approaches such as laser therapy or radiofrequency treatment. The choice of technique depends on factors such as the specific condition being treated, the patient’s anatomy, and the surgeon’s expertise.

Anesthesia and Surgical Setting:

Vaginal canal surgical procedures are typically performed under general anesthesia to ensure the patient’s comfort and safety throughout the surgery. The procedure may be performed in a hospital operating room or an outpatient surgical center, depending on the specific circumstances and the surgeon’s preference.

Postoperative Care:

Following vaginoplasty, patients are typically provided with postoperative instructions to promote healing and minimize complications. This may include guidelines for managing pain and discomfort, instructions for wound care and hygiene, and restrictions on activities such as sexual intercourse and heavy lifting during the initial recovery period.

Vaginoplasty Can Offer Several Benefits for Women

1. Improved Sexual Function: Vaginoplasty can enhance sexual satisfaction by tightening the vaginal canal, which may lead to increased friction during intercourse and heightened sensations for both the individual and their partner.
2. Increased Confidence and Self-esteem: Many women experience a boost in confidence and self-esteem after undergoing vaginoplasty. Feeling more satisfied with the appearance and function of their genitalia can contribute to overall feelings of confidence and well-being.
3. Restored Vaginal Tone: Vaginoplasty procedures can help restore lost vaginal tone, which may occur due to factors such as childbirth, aging, or hormonal changes. This can lead to improved urinary control and decreased instances of urinary incontinence.
4. Addressing Medical Concerns: In cases where vaginal laxity or prolapse is causing discomfort or other medical issues, vaginoplasty procedures can provide relief and improve overall vaginal health.
5. Enhanced Intimacy: By improving vaginal tone and function, vaginoplasty can enhance intimacy and connection between partners. Feeling more confident and comfortable during sexual activity can lead to deeper emotional and physical intimacy.
6. Rejuvenation: Vaginoplasty procedures can contribute to overall vaginal rejuvenation by restoring a more youthful appearance and function to the genital area.
7. Treatment of Sexual Dysfunction: For individuals experiencing sexual dysfunction related to vaginal laxity or other issues, vaginoplasty procedures may help address these concerns and improve sexual satisfaction.
8. Correction of Congenital Defects: Vaginoplasty can correct congenital conditions such as vaginal agenesis or atresia, intersex conditions, and other anatomical abnormalities, allowing for normal urinary, menstrual, and sexual function.
9. Psychological Well-being: Addressing concerns related to vaginal appearance or function through vaginoplasty can have a positive impact on a woman’s psychological well-being, leading to increased self-confidence and satisfaction with her body.

Why Vaginoplasty is important for women?

because it can:

Restore functionality to the vagina.

1. Improve quality of life and sexual satisfaction.
2. Treat medical conditions like vaginal prolapse or pelvic floor weakness.
3. Enhance psychological well-being and confidence.
4. Reconstruct the vagina after trauma or surgery.
5. Empower women to make choices about their bodies.

Why do women sometimes have major complications after vaginal surgery?

Hematomas, UTIs, and fistula problems,
Pulmonary embolism (PE) and deep vein thrombosis (DVT),
Damage Dehiscence,
Nerve Injury,

The issue stems from women’s uncertainty regarding the most suitable treatment for their needs and the lack of clarity on which clinics yield optimal results. Often, women are lured by attractively low prices for treatments and hastily undergo surgery without considering the quality of care provided. Unfortunately, these rushed decisions often lead to subpar outcomes, with patients experiencing numerous post-operative issues, complications, and health concerns.

When considering vaginal tightening surgery, it’s imperative to seek out an experienced gynecologist with over a decade of expertise. In Pakistan, many doctors, including dermatologists, may offer such procedures, but their lack of specialization in gynecology can result in inadequate treatment and potential harm. Seasoned gynecologists possess the requisite knowledge and skill to execute these surgeries effectively, having dedicated substantial time to mastering their craft.

To ensure the best possible outcome, it’s advisable to research reputable clinics thoroughly. Seek out information pertinent to your specific treatment needs, and schedule consultations to gather further insights.

By taking these steps, you can increase the likelihood of a satisfactory experience and optimal results.

There is a tiny pelvic gutter in the vagina that contains numerous organs and is present under gravity for surgical treatment. You must realize that you are receiving medical care, and that your surgeon must be a gynecologist and obstetrician. Whether you have surgery performed by a general practitioner or at an aesthetic clinic, you will undoubtedly encounter numerous challenges both during and after the procedure.

FAQs about Vaginoplasty Treatment

How long does vaginoplasty take?

A vaginoplasty procedure in a hospital setting typically lasts one hour while under general anesthesia.

Is vaginoplasty is painful?

The majority of your discomfort will be associated with bruising, soreness, tenderness, and swelling. Most people would characterize the pain you can anticipate as dull agony and discomfort.

How long does it take to heal surgery?

Every patient has a different recovery time after a vaginoplasty, but in general, a full recovery can be expected six to eight weeks after surgery.

How much does viginoplasty cost in Pakistan?

Patients may experience differences in the cost of vaginoplasty in Pakistan. Since the kind of repair and the unique issues of each person vary. But based on an approximation, the price might be anything from 150,000 PKR to 20,0000 PKR.

Conclusion

In conclusion, vaginal canal surgical procedures, including vaginoplasty and reconstructive surgery, are performed to address a range of issues affecting the vaginal canal, from aesthetic concerns to medical conditions. These procedures aim to improve vaginal tone, function, and overall quality of life for patients. As with any surgical intervention, it’s important for patients to discuss their goals, expectations, and concerns with a qualified healthcare provider before undergoing vaginal surgery.

Contact with Aesthedoc Clinic for Hymenoplasty and Vaginoplasty

For cosmetic surgeries are best for aesthetics gynecology’s related treatments and procedures in Pakistan, get in touch with the plastic surgeon for more details.